NPIMap

Organization Active NPI

Joel Scalera DDS PA

  • Dental Clinic/Center
  • Melbourne, FL
National Provider Identifier
1629082037
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN10620 Issued in FL
Legal business name
JOEL SCALERA DDS PA
Practice address
33 Suntree PL
Suite a
Melbourne, FL 32940-7602
Phone
(321) 259-3283
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joel Cameron Scalera, DDSNPI 1902246226
Title
Owner
Phone
(321) 259-3283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN10620 FL Primary

Addresses

Primary practice location

33 Suntree PL
Suite a
Melbourne, FL 32940-7602

Mailing address

3945 Wild Pine LN
Merritt Island, FL 32952-6218
Phone (321) 459-2286

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1629082037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 WILD PINE LN",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526218",
            "telephone_number": "321-459-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SUNTREE PL",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407602",
            "telephone_number": "321-259-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL SCALERA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "SCALERA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-259-3283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN10620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.